Aging Well Health Care, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AGING WELL HEALTH CARE, LLC

Practice address

7212 Balson Ave
Saint Louis, MO 63130-3001

Phone

(314) 726-5600

Fax

(314) 754-9317

NPI assigned

Apr 24, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irina Bursak

Title

Administrator

Phone

(314) 726-5600

Specialties & licenses 1

Addresses

Other names 1

• AW Health Care Doing business as

Tax ID family

Aw Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aging Well Health Care, LLC

  • Home Health Agency
  • Collinsville, IL
  • NPI 1295087195
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1184470809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 BALSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303001",
            "telephone_number": "314-726-5600",
            "fax_number": "314-754-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 BALSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303001",
            "telephone_number": "314-726-5600",
            "fax_number": "314-754-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING WELL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BURSAK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-726-5600"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AW Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Agic, RN
• Agility Orthopaedics, LLC
• Aging at Home Inc.
• Aging in Your Place
• Aging in Your Place LLC
• Aging Well Health Care, LLC
• Shannon Christine Agner, MD
• Trana Agnew
• Sarah Agoncillo, RN BSN
• Laura Elizabeth Agostini

• All providers in Saint Louis, MO
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.